Meher Susanta, Mishra Tushar Subhadarshan, Sasmal Prakash Kumar, Sharma Rakesh, Rout Bikram
Senior Resident, Department of Surgery, AIIMS , Bhubaneswar, Odisha, India .
Additional Professor, Department of Surgery, AIIMS , Bhubaneswar, Odisha, India .
J Clin Diagn Res. 2016 Sep;10(9):PD20-PD22. doi: 10.7860/JCDR/2016/20251.8569. Epub 2016 Sep 1.
Umbilical Pilonidal Sinus (UPS) is a rare differential diagnosis of umbilical disease as encountered by general surgeons. They usually present with history of pain and umbilical discharge. Young active adolescent males with dense hairy abdomen with a deep naval are at risk of developing this disease. There are no consensus guidelines for the management of this disease probably because of its rarity. Treatment depends on the type of presentation. Most of the cases are managed by conservative treatment with hair extraction and personal hygiene. Surgery is indicated in case of failure of conservative management. Although umbilectomy is a commonly done procedure, complete sinus excision with reconstruction which can be done to have better cosmesis. Incomplete hair extraction from the sinus tract has been found to be the commonest cause of failure of conservative management. In this paper we have presented two cases of UPS, managed conservatively, with no recurrence after one year of follow-up. We have also presented a recent update on current literature about this uncommon disease.
脐部藏毛窦（UPS）是普通外科医生在诊断脐部疾病时较少见的鉴别诊断情况。患者通常有疼痛和脐部分泌物的病史。腹部毛发浓密且肚脐较深的年轻活跃青少年男性有患此病的风险。由于其罕见性，目前尚无关于该疾病管理的共识指南。治疗取决于临床表现类型。大多数病例通过拔除毛发和保持个人卫生等保守治疗方法处理。保守治疗失败时则需进行手术。虽然脐切除术是常见的手术，但完整切除窦道并进行重建可获得更好的美容效果。已发现窦道内毛发拔除不完全是保守治疗失败的最常见原因。在本文中，我们介绍了两例采用保守治疗的UPS病例，随访一年后无复发。我们还介绍了有关这种罕见疾病的当前文献的最新情况。
